Long-Term Safety of Buttonhole Cannulation and Efficacy of Mupirocin Prophylaxis

被引:2
作者
Agarwal, Arnav [1 ]
Nesrallah, Gihad [2 ,3 ]
机构
[1] Univ Toronto, Fac Med, Toronto, ON, Canada
[2] Humber River Hosp, Nephrol Program, Toronto, ON, Canada
[3] St Michaels Hosp, Keenan Res Ctr, Li Ka Shing Knowledge Inst, 30 Bond St, Toronto, ON M5B 1W8, Canada
来源
BUTTONHOLE CANNULATION: CURRENT PROSPECTS AND CHALLENGES | 2015年 / 186卷
关键词
ARTERIOVENOUS-FISTULAS; VASCULAR ACCESS; CANADIAN SOCIETY; HEMODIALYSIS; COMPLICATIONS;
D O I
10.1159/000431162
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Buttonhole cannulation has drawn considerable interest in recent years, particularly with the proliferation of home hemodialysis. Touted benefits of this cannulation method include reduced pain, ease of use, reduced aneurysm formation, and overall greater patient satisfaction. However, recent studies have also suggested that systemic and local infection rates are higher with buttonhole cannulation compared with the standard rope-ladder method. In this review, we summarize recent systematic review findings and practice guidelines addressing the benefits and harms of buttonhole cannulation, and discuss the role of topical antimicrobial prophylaxis.(C) 2015 S. Karger AG, Basel
引用
收藏
页码:64 / 70
页数:7
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